Shawntay Theresa Fenyo Woods, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

21683 Issued in NC

Practice address

1212 Flemingtown Rd
Henderson, NC 27537-3226

Phone

(443) 962-2479

NPI assigned

Jan 19, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Shawntay Theresa Fenyo Former name

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Serenity Counseling Group PLLC

  • Professional Counselor
  • Henderson, NC
  • NPI 1750245965
  NPD Authorized official
• Safe Harbor Behavioral Care Chesapeake LLC

  • Clinical Social Worker
  • Annapolis, MD
  • NPI 1295246718

  Professional

  NPD (past)
• Safe Harbor Behavioral Care, LLC

  • Clinical Social Worker
  • Bel Air, MD
  • NPI 1316487879

  Mental Health

  NPD (past)
• Safe Harbor Christian Counseling of Annapolis Inc

  • Clinical Social Worker
  • Arnold, MD
  • NPI 1447407523

  Counselor

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1821562190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 FLEMINGTOWN RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275373226",
            "telephone_number": "443-962-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 FLEMINGTOWN RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275373226",
            "telephone_number": "443-962-2479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "946 Nabbs Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "21060",
            "country_code": "US",
            "telephone_number": "410-839-4600",
            "fax_number": "443-640-4358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1177 Annapolis Rd Unit 118",
            "address_purpose": "LOCATION",
            "city": "Odenton",
            "state": "MD",
            "postal_code": "211137505",
            "country_code": "US",
            "telephone_number": "443-962-2479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1811 Saunders Way",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210614331",
            "country_code": "US",
            "telephone_number": "443-962-2479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 Aquahart Rd",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210613968",
            "country_code": "US",
            "telephone_number": "443-303-7404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 Monticello Ave Ste 1802",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235102670",
            "country_code": "US",
            "telephone_number": "443-962-2479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8146 Quarterfield Rd",
            "address_purpose": "LOCATION",
            "city": "Severn",
            "state": "MD",
            "postal_code": "211442705",
            "country_code": "US",
            "telephone_number": "443-303-7404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENYO WOODS",
        "first_name": "SHAWNTAY",
        "middle_name": "THERESA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-19",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC10414",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701014697",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "21683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWNTAY",
            "last_name": "FENYO",
            "middle_name": "THERESA",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fast Pace Kentucky PLLC
• Meredith Fathauer
• Tanzaniah Faulcon
• John Jay Faulkner, MD
• Josep Vicenc Feliu, CP
• Latoya Nichelle Fields, CNA
• Frances Veronica Finamore, L.P.C
• Firm Foundations Health Services, Inc.
• Five Star Physical Therapy, Inc
• Christopher John Flanagan, MSW, LCSW, LCAS

• Professional Counselor in Henderson, NC
• Providers in Henderson, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.